Prioritizing patient problems is usually based on
Maslow's hierarchy of needs.
the nurse-to-nurse report.
nonspecific data collection..
managerial influence.
The Correct Answer is A
A. Maslow's hierarchy of needs:
This statement is true. Prioritizing patient problems is often based on Maslow's hierarchy of needs, which categorizes human needs from basic physiological requirements to higher-level psychological needs. Patients' immediate and essential needs, such as airway, breathing, and circulation, are prioritized over other needs based on this framework.
B. The nurse-to-nurse report:
This statement is incorrect. Nurse-to-nurse report is essential for continuity of care, but it is not the basis for prioritizing patient problems. Prioritization is based on the patient's immediate needs and safety concerns.
C. Nonspecific data collection:
This statement is incorrect. Prioritization is based on specific data collected during the assessment, including physiological measurements, symptoms, and patient history. Nonspecific data collection wouldn't provide the necessary information for effective prioritization.
D. Managerial influence:
This statement is incorrect. While managers might provide guidelines and policies, the direct care nurse at the bedside typically prioritizes patient problems based on clinical judgment, immediate needs, and the nursing process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. History taking: This refers to the process of gathering information about a patient's medical history, including their symptoms, past illnesses, medications, and family history. It involves asking questions and actively listening to the patient's responses.
B. Palpation of an area: Palpation involves using the hands to feel the body's surface, usually to assess the texture, size, consistency, and location of certain organs or structures. For example, a healthcare provider might palpate the abdomen to feel for any abnormalities or tenderness.
C. Communication: Communication is a broad term that encompasses various aspects of interacting with a patient, including asking questions, active listening, providing explanations, and expressing empathy. Effective communication is crucial for building trust, understanding the patient's concerns, and delivering appropriate care.
D. Weighing of a patient: Weighing a patient is a specific measurement and is not a technique used for a physical examination. However, a patient's weight can be an essential piece of information in understanding their overall health and can be considered during the assessment process.
Correct Answer is B
Explanation
A. A semi-dependent nursing action: This term doesn't have a standard meaning in nursing. Nursing actions are generally categorized as independent, dependent, or interdependent.
B. An independent nursing action: Independent nursing actions are activities that nurses are licensed to initiate on the basis of their knowledge and skills. These actions don't require a physician's order. Giving a back massage, in many cases, falls under the category of independent nursing actions. Nurses often assess the patient's condition and, if appropriate, can provide interventions like massages to enhance comfort and well-being without needing a specific order.
C. A dependent nursing action: Dependent nursing actions are activities that require a physician's order or another healthcare provider's directive. Nurses perform these actions under the physician's supervision or guidance. Giving a back massage might require a specific order in certain situations, for instance, if the patient has a particular condition that necessitates a tailored approach to massage.
D. An interdependent nursing action: Interdependent nursing actions are those that require collaboration with other healthcare team members. These actions involve working together with physicians, therapists, and other professionals to ensure comprehensive patient care. While collaboration is essential in healthcare, giving a back massage is generally not considered primarily interdependent; it's more about the nurse's individual skill unless there are specific medical considerations that require interprofessional collaboration.
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